How did you hear about NEXA Mortgage?

Were you referred or currently working with one of our NEXA Loan Officers? If yes, please share their name; if not, simply type NA.

Zip Code

What type of loan do you need?

What type of property are you refinancing?

Estimate your credit score.

What year did you purchase your home?

Please estimate the value of the property.

Is this your first property purchase?

What is the remaining 1st mortgage balance?

What is your 1st mortgage interest rate?

How will this property be used?

What kind of rate do you prefer?

Do you have a second mortgage?

Would you like to borrow additional cash?

What is your gross annual household income?

What is your employment status?

Bankruptcy, short sale, or foreclosure in the last 3 years?

Can you show proof of income?

What is your average monthly income?

What are your average monthly expenses?

Do you currently have an USDA loan?

Any late mortgage payments in the last 12 months?

What is your full name?

What is your email address?

What is your phone number?